Online Registration

Please complete the form below for us to review your Application

General Information

  • E.g., 05/11/2014

    DOB Format : DD/MM/YYYY

Address

Additional Information

Declaration

I hereby declare that the details given herein are true, correct and complete to the best of my knowledge and belief, the copy of the documents submitted stage are genuine and belong me. I hearby undertake to promptly inform Newspaper Ad Agency in writing, of any changes in the information provided herein above and agree and accept that Newspaper Ad Agency is not liable or responsible for any losses, costs, damages arising out of any actions undertaken or activities performed by Newspaper Ad Agency on the basis of the information provided by me as also due to my not intimating / delay in intimating such changes. I hereby authorize Newspaper Ad Agency to disclose, share, remit in any form, mode or manner, all / any of the information provided by me. I hereby agree to provide any additional information / documentation that may be required by Newspaper Ad Agency, in connection with this application. I also agree that Newspaper Ad Agency has the right to reject my application form on any ground without any reason.